CA3223862A1 - Systems for applying energy to denervate a pulmonary artery - Google Patents
Systems for applying energy to denervate a pulmonary arteryInfo
- Publication number
- CA3223862A1 CA3223862A1 CA3223862A CA3223862A CA3223862A1 CA 3223862 A1 CA3223862 A1 CA 3223862A1 CA 3223862 A CA3223862 A CA 3223862A CA 3223862 A CA3223862 A CA 3223862A CA 3223862 A1 CA3223862 A1 CA 3223862A1
- Authority
- CA
- Canada
- Prior art keywords
- blood vessel
- catheter
- transducer
- anchor
- sheath
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 210000001147 pulmonary artery Anatomy 0.000 title claims abstract description 100
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 352
- 238000002679 ablation Methods 0.000 claims abstract description 194
- 210000005036 nerve Anatomy 0.000 claims abstract description 150
- 238000000034 method Methods 0.000 claims abstract description 109
- 238000012384 transportation and delivery Methods 0.000 claims abstract description 98
- 230000001537 neural effect Effects 0.000 claims abstract description 67
- 230000002829 reductive effect Effects 0.000 claims abstract description 35
- 230000007704 transition Effects 0.000 claims abstract description 26
- 238000002604 ultrasonography Methods 0.000 claims description 118
- 238000000926 separation method Methods 0.000 claims description 42
- 230000007246 mechanism Effects 0.000 claims description 32
- 238000002608 intravascular ultrasound Methods 0.000 claims description 25
- 210000003105 phrenic nerve Anatomy 0.000 claims description 24
- 210000003484 anatomy Anatomy 0.000 claims description 20
- 208000002815 pulmonary hypertension Diseases 0.000 claims description 19
- 210000004369 blood Anatomy 0.000 claims description 18
- 239000008280 blood Substances 0.000 claims description 18
- 210000005166 vasculature Anatomy 0.000 claims description 16
- 230000006461 physiological response Effects 0.000 claims description 15
- 230000008859 change Effects 0.000 claims description 10
- 210000001367 artery Anatomy 0.000 claims description 8
- 108091008698 baroreceptors Proteins 0.000 claims description 8
- 210000001774 pressoreceptor Anatomy 0.000 claims description 8
- 230000006378 damage Effects 0.000 claims description 7
- 238000004520 electroporation Methods 0.000 claims description 5
- 239000012781 shape memory material Substances 0.000 claims description 5
- 208000034423 Delivery Diseases 0.000 claims description 4
- 230000007423 decrease Effects 0.000 claims description 4
- 230000002685 pulmonary effect Effects 0.000 description 54
- 230000000747 cardiac effect Effects 0.000 description 43
- 210000001519 tissue Anatomy 0.000 description 32
- 239000000463 material Substances 0.000 description 29
- 238000011282 treatment Methods 0.000 description 26
- 210000002216 heart Anatomy 0.000 description 23
- 230000002889 sympathetic effect Effects 0.000 description 22
- 239000003550 marker Substances 0.000 description 19
- 230000017531 blood circulation Effects 0.000 description 18
- 210000004072 lung Anatomy 0.000 description 16
- 210000002416 recurrent laryngeal nerve Anatomy 0.000 description 16
- 239000000835 fiber Substances 0.000 description 14
- 230000000694 effects Effects 0.000 description 12
- 210000000115 thoracic cavity Anatomy 0.000 description 12
- 230000000306 recurrent effect Effects 0.000 description 11
- 230000030214 innervation Effects 0.000 description 10
- 230000004007 neuromodulation Effects 0.000 description 10
- 230000009467 reduction Effects 0.000 description 10
- 230000002441 reversible effect Effects 0.000 description 9
- 210000005245 right atrium Anatomy 0.000 description 9
- 210000003462 vein Anatomy 0.000 description 9
- 229910052782 aluminium Inorganic materials 0.000 description 8
- XAGFODPZIPBFFR-UHFFFAOYSA-N aluminium Chemical compound [Al] XAGFODPZIPBFFR-UHFFFAOYSA-N 0.000 description 8
- 230000009286 beneficial effect Effects 0.000 description 8
- 238000005259 measurement Methods 0.000 description 8
- 210000005241 right ventricle Anatomy 0.000 description 8
- 210000003437 trachea Anatomy 0.000 description 8
- 230000001515 vagal effect Effects 0.000 description 8
- 238000010317 ablation therapy Methods 0.000 description 7
- 238000004873 anchoring Methods 0.000 description 7
- 210000000709 aorta Anatomy 0.000 description 7
- 230000002638 denervation Effects 0.000 description 7
- 230000003902 lesion Effects 0.000 description 7
- 230000036961 partial effect Effects 0.000 description 7
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 6
- 210000002376 aorta thoracic Anatomy 0.000 description 6
- 238000005520 cutting process Methods 0.000 description 6
- 238000010438 heat treatment Methods 0.000 description 6
- 238000003384 imaging method Methods 0.000 description 6
- 239000000725 suspension Substances 0.000 description 6
- 230000004913 activation Effects 0.000 description 5
- 239000004020 conductor Substances 0.000 description 5
- 238000002594 fluoroscopy Methods 0.000 description 5
- 230000006870 function Effects 0.000 description 5
- 230000001965 increasing effect Effects 0.000 description 5
- 210000004126 nerve fiber Anatomy 0.000 description 5
- HLXZNVUGXRDIFK-UHFFFAOYSA-N nickel titanium Chemical compound [Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ti].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni].[Ni] HLXZNVUGXRDIFK-UHFFFAOYSA-N 0.000 description 5
- 229910001000 nickel titanium Inorganic materials 0.000 description 5
- 230000001734 parasympathetic effect Effects 0.000 description 5
- 238000000527 sonication Methods 0.000 description 5
- 229910001220 stainless steel Inorganic materials 0.000 description 5
- 239000010935 stainless steel Substances 0.000 description 5
- 239000000126 substance Substances 0.000 description 5
- 239000002470 thermal conductor Substances 0.000 description 5
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 4
- 239000004593 Epoxy Substances 0.000 description 4
- 208000003098 Ganglion Cysts Diseases 0.000 description 4
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 4
- 208000005400 Synovial Cyst Diseases 0.000 description 4
- PNEYBMLMFCGWSK-UHFFFAOYSA-N aluminium oxide Inorganic materials [O-2].[O-2].[O-2].[Al+3].[Al+3] PNEYBMLMFCGWSK-UHFFFAOYSA-N 0.000 description 4
- 230000000712 assembly Effects 0.000 description 4
- 238000000429 assembly Methods 0.000 description 4
- 238000009529 body temperature measurement Methods 0.000 description 4
- 230000008878 coupling Effects 0.000 description 4
- 238000010168 coupling process Methods 0.000 description 4
- 238000005859 coupling reaction Methods 0.000 description 4
- 238000010586 diagram Methods 0.000 description 4
- 210000000609 ganglia Anatomy 0.000 description 4
- 230000002401 inhibitory effect Effects 0.000 description 4
- 238000003780 insertion Methods 0.000 description 4
- 230000037431 insertion Effects 0.000 description 4
- 238000004519 manufacturing process Methods 0.000 description 4
- 238000001126 phototherapy Methods 0.000 description 4
- 210000002254 renal artery Anatomy 0.000 description 4
- 238000007789 sealing Methods 0.000 description 4
- 239000011780 sodium chloride Substances 0.000 description 4
- 229910000679 solder Inorganic materials 0.000 description 4
- 210000004686 stellate ganglion Anatomy 0.000 description 4
- 230000000638 stimulation Effects 0.000 description 4
- 210000002820 sympathetic nervous system Anatomy 0.000 description 4
- 208000008454 Hyperhidrosis Diseases 0.000 description 3
- 238000010521 absorption reaction Methods 0.000 description 3
- 210000004079 adrenergic fiber Anatomy 0.000 description 3
- 210000002565 arteriole Anatomy 0.000 description 3
- 210000000984 branchial region Anatomy 0.000 description 3
- 210000000621 bronchi Anatomy 0.000 description 3
- 230000006835 compression Effects 0.000 description 3
- 238000007906 compression Methods 0.000 description 3
- 239000002826 coolant Substances 0.000 description 3
- 238000001816 cooling Methods 0.000 description 3
- 229910052802 copper Inorganic materials 0.000 description 3
- 239000010949 copper Substances 0.000 description 3
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 239000003814 drug Substances 0.000 description 3
- 230000035876 healing Effects 0.000 description 3
- 208000015181 infectious disease Diseases 0.000 description 3
- 230000000670 limiting effect Effects 0.000 description 3
- 230000001404 mediated effect Effects 0.000 description 3
- 229910052751 metal Inorganic materials 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 210000002569 neuron Anatomy 0.000 description 3
- 230000037361 pathway Effects 0.000 description 3
- 230000035515 penetration Effects 0.000 description 3
- 210000003492 pulmonary vein Anatomy 0.000 description 3
- 235000012239 silicon dioxide Nutrition 0.000 description 3
- 239000000377 silicon dioxide Substances 0.000 description 3
- 238000002560 therapeutic procedure Methods 0.000 description 3
- 210000003813 thumb Anatomy 0.000 description 3
- 210000001186 vagus nerve Anatomy 0.000 description 3
- 230000002792 vascular Effects 0.000 description 3
- 230000003639 vasoconstrictive effect Effects 0.000 description 3
- 208000031361 Hiccup Diseases 0.000 description 2
- 206010021143 Hypoxia Diseases 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 230000002567 autonomic effect Effects 0.000 description 2
- 230000036772 blood pressure Effects 0.000 description 2
- 238000009530 blood pressure measurement Methods 0.000 description 2
- 210000002168 brachiocephalic trunk Anatomy 0.000 description 2
- IUWCPXJTIPQGTE-UHFFFAOYSA-N chromium cobalt Chemical compound [Cr].[Co].[Co].[Co] IUWCPXJTIPQGTE-UHFFFAOYSA-N 0.000 description 2
- 235000019506 cigar Nutrition 0.000 description 2
- 239000003086 colorant Substances 0.000 description 2
- 239000012141 concentrate Substances 0.000 description 2
- 210000002808 connective tissue Anatomy 0.000 description 2
- 210000004351 coronary vessel Anatomy 0.000 description 2
- 238000001514 detection method Methods 0.000 description 2
- 238000006073 displacement reaction Methods 0.000 description 2
- -1 e.g. Substances 0.000 description 2
- 238000010292 electrical insulation Methods 0.000 description 2
- 229910000701 elgiloys (Co-Cr-Ni Alloy) Inorganic materials 0.000 description 2
- 230000002349 favourable effect Effects 0.000 description 2
- 230000000574 ganglionic effect Effects 0.000 description 2
- 230000037315 hyperhidrosis Effects 0.000 description 2
- 230000007954 hypoxia Effects 0.000 description 2
- 230000010354 integration Effects 0.000 description 2
- 230000003447 ipsilateral effect Effects 0.000 description 2
- 210000005246 left atrium Anatomy 0.000 description 2
- 239000000615 nonconductor Substances 0.000 description 2
- 210000005037 parasympathetic nerve Anatomy 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 238000004393 prognosis Methods 0.000 description 2
- 230000005855 radiation Effects 0.000 description 2
- 231100000241 scar Toxicity 0.000 description 2
- 210000003270 subclavian artery Anatomy 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 230000004083 survival effect Effects 0.000 description 2
- 210000000331 sympathetic ganglia Anatomy 0.000 description 2
- 230000008685 targeting Effects 0.000 description 2
- 238000012360 testing method Methods 0.000 description 2
- 238000012285 ultrasound imaging Methods 0.000 description 2
- 210000001631 vena cava inferior Anatomy 0.000 description 2
- 210000002620 vena cava superior Anatomy 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 241000153246 Anteros Species 0.000 description 1
- 206010061818 Disease progression Diseases 0.000 description 1
- 102000008946 Fibrinogen Human genes 0.000 description 1
- 108010049003 Fibrinogen Proteins 0.000 description 1
- 206010020880 Hypertrophy Diseases 0.000 description 1
- 208000011191 Pulmonary vascular disease Diseases 0.000 description 1
- 206010067171 Regurgitation Diseases 0.000 description 1
- BQCADISMDOOEFD-UHFFFAOYSA-N Silver Chemical compound [Ag] BQCADISMDOOEFD-UHFFFAOYSA-N 0.000 description 1
- 206010047139 Vasoconstriction Diseases 0.000 description 1
- 230000005856 abnormality Effects 0.000 description 1
- 230000001800 adrenalinergic effect Effects 0.000 description 1
- 230000002776 aggregation Effects 0.000 description 1
- 238000004220 aggregation Methods 0.000 description 1
- 238000004458 analytical method Methods 0.000 description 1
- 238000013459 approach Methods 0.000 description 1
- 210000005249 arterial vasculature Anatomy 0.000 description 1
- 230000001174 ascending effect Effects 0.000 description 1
- QVGXLLKOCUKJST-UHFFFAOYSA-N atomic oxygen Chemical compound [O] QVGXLLKOCUKJST-UHFFFAOYSA-N 0.000 description 1
- 230000001746 atrial effect Effects 0.000 description 1
- 229910001566 austenite Inorganic materials 0.000 description 1
- 210000003403 autonomic nervous system Anatomy 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 239000000560 biocompatible material Substances 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 210000005242 cardiac chamber Anatomy 0.000 description 1
- 210000000845 cartilage Anatomy 0.000 description 1
- 210000003451 celiac plexus Anatomy 0.000 description 1
- 210000003169 central nervous system Anatomy 0.000 description 1
- 239000003795 chemical substances by application Substances 0.000 description 1
- 210000000038 chest Anatomy 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000002591 computed tomography Methods 0.000 description 1
- 238000012790 confirmation Methods 0.000 description 1
- 230000003247 decreasing effect Effects 0.000 description 1
- 238000004925 denaturation Methods 0.000 description 1
- 230000036425 denaturation Effects 0.000 description 1
- 229910003460 diamond Inorganic materials 0.000 description 1
- 239000010432 diamond Substances 0.000 description 1
- 230000005750 disease progression Effects 0.000 description 1
- 238000012377 drug delivery Methods 0.000 description 1
- 230000004064 dysfunction Effects 0.000 description 1
- 238000010894 electron beam technology Methods 0.000 description 1
- 210000003238 esophagus Anatomy 0.000 description 1
- 210000001105 femoral artery Anatomy 0.000 description 1
- 210000003191 femoral vein Anatomy 0.000 description 1
- 229940012952 fibrinogen Drugs 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 239000007789 gas Substances 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 210000004013 groin Anatomy 0.000 description 1
- 230000017525 heat dissipation Effects 0.000 description 1
- 210000000194 hypogastric plexus Anatomy 0.000 description 1
- 230000006872 improvement Effects 0.000 description 1
- 230000000415 inactivating effect Effects 0.000 description 1
- 230000002779 inactivation Effects 0.000 description 1
- 230000001939 inductive effect Effects 0.000 description 1
- 238000001802 infusion Methods 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 230000003993 interaction Effects 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 210000004731 jugular vein Anatomy 0.000 description 1
- 210000003734 kidney Anatomy 0.000 description 1
- 210000003801 laryngeal nerve Anatomy 0.000 description 1
- 210000005240 left ventricle Anatomy 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 230000005923 long-lasting effect Effects 0.000 description 1
- 210000004705 lumbosacral region Anatomy 0.000 description 1
- 238000002595 magnetic resonance imaging Methods 0.000 description 1
- 229910000734 martensite Inorganic materials 0.000 description 1
- 230000000873 masking effect Effects 0.000 description 1
- 239000000203 mixture Substances 0.000 description 1
- 210000001640 nerve ending Anatomy 0.000 description 1
- 230000007935 neutral effect Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- TWNQGVIAIRXVLR-UHFFFAOYSA-N oxo(oxoalumanyloxy)alumane Chemical compound O=[Al]O[Al]=O TWNQGVIAIRXVLR-UHFFFAOYSA-N 0.000 description 1
- 239000001301 oxygen Substances 0.000 description 1
- 229910052760 oxygen Inorganic materials 0.000 description 1
- 230000003071 parasitic effect Effects 0.000 description 1
- 230000002093 peripheral effect Effects 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 238000002428 photodynamic therapy Methods 0.000 description 1
- 230000021715 photosynthesis, light harvesting Effects 0.000 description 1
- 230000001830 phrenic effect Effects 0.000 description 1
- 230000002035 prolonged effect Effects 0.000 description 1
- 230000004088 pulmonary circulation Effects 0.000 description 1
- 230000009325 pulmonary function Effects 0.000 description 1
- 210000003102 pulmonary valve Anatomy 0.000 description 1
- 230000036593 pulmonary vascular resistance Effects 0.000 description 1
- 230000008695 pulmonary vasoconstriction Effects 0.000 description 1
- 230000000541 pulsatile effect Effects 0.000 description 1
- 239000002994 raw material Substances 0.000 description 1
- 230000011514 reflex Effects 0.000 description 1
- 230000008660 renal denervation Effects 0.000 description 1
- 238000011160 research Methods 0.000 description 1
- 230000004044 response Effects 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 230000001953 sensory effect Effects 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 229910052709 silver Inorganic materials 0.000 description 1
- 239000004332 silver Substances 0.000 description 1
- 239000010454 slate Substances 0.000 description 1
- 239000007779 soft material Substances 0.000 description 1
- 238000005476 soldering Methods 0.000 description 1
- 210000000278 spinal cord Anatomy 0.000 description 1
- 210000001032 spinal nerve Anatomy 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 230000035900 sweating Effects 0.000 description 1
- 210000000225 synapse Anatomy 0.000 description 1
- 208000011580 syndromic disease Diseases 0.000 description 1
- 230000009885 systemic effect Effects 0.000 description 1
- 229940124597 therapeutic agent Drugs 0.000 description 1
- 238000004861 thermometry Methods 0.000 description 1
- 238000013519 translation Methods 0.000 description 1
- 210000000591 tricuspid valve Anatomy 0.000 description 1
- 230000025033 vasoconstriction Effects 0.000 description 1
- 239000005526 vasoconstrictor agent Substances 0.000 description 1
- 229940124549 vasodilator Drugs 0.000 description 1
- 239000003071 vasodilator agent Substances 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
- 230000002861 ventricular Effects 0.000 description 1
- 230000009278 visceral effect Effects 0.000 description 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 1
- 229910000859 α-Fe Inorganic materials 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N7/02—Localised ultrasound hyperthermia
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N7/02—Localised ultrasound hyperthermia
- A61N7/022—Localised ultrasound hyperthermia intracavitary
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00184—Moving parts
- A61B2018/00196—Moving parts reciprocating lengthwise
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00214—Expandable means emitting energy, e.g. by elements carried thereon
- A61B2018/0022—Balloons
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00273—Anchoring means for temporary attachment of a device to tissue
- A61B2018/00279—Anchoring means for temporary attachment of a device to tissue deployable
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00351—Heart
- A61B2018/00375—Ostium, e.g. ostium of pulmonary vein or artery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00345—Vascular system
- A61B2018/00404—Blood vessels other than those in or around the heart
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00434—Neural system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00732—Frequency
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00696—Controlled or regulated parameters
- A61B2018/00738—Depth, e.g. depth of ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00779—Power or energy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00779—Power or energy
- A61B2018/00785—Reflected power
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00791—Temperature
- A61B2018/00821—Temperature measured by a thermocouple
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00636—Sensing and controlling the application of energy
- A61B2018/00773—Sensed parameters
- A61B2018/00875—Resistance or impedance
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/0091—Handpieces of the surgical instrument or device
- A61B2018/00916—Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00994—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combining two or more different kinds of non-mechanical energy or combining one or more non-mechanical energies with ultrasound
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
- A61B2090/0807—Indication means
- A61B2090/0811—Indication means for the position of a particular part of an instrument with respect to the rest of the instrument, e.g. position of the anvil of a stapling instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/39—Markers, e.g. radio-opaque or breast lesions markers
- A61B2090/3937—Visible markers
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0004—Applications of ultrasound therapy
- A61N2007/0021—Neural system treatment
- A61N2007/003—Destruction of nerve tissue
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0043—Ultrasound therapy intra-cavitary
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
- A61N7/00—Ultrasound therapy
- A61N2007/0086—Beam steering
- A61N2007/0091—Beam steering with moving parts, e.g. transducers, lenses, reflectors
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Radiology & Medical Imaging (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Cardiology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
- Ultra Sonic Daignosis Equipment (AREA)
- Laser Surgery Devices (AREA)
- Electrotherapy Devices (AREA)
- Media Introduction/Drainage Providing Device (AREA)
Applications Claiming Priority (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
EP21305873.8A EP4108197A1 (de) | 2021-06-24 | 2021-06-24 | Systeme zur behandlung von gewebe |
EP21305873 | 2021-06-24 | ||
PCT/IB2022/055854 WO2022269545A2 (en) | 2021-06-24 | 2022-06-23 | Systems and methods for applying energy to denervate a pulmonary artery |
Publications (1)
Publication Number | Publication Date |
---|---|
CA3223862A1 true CA3223862A1 (en) | 2022-12-29 |
Family
ID=76845154
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CA3223862A Pending CA3223862A1 (en) | 2021-06-24 | 2022-06-23 | Systems for applying energy to denervate a pulmonary artery |
Country Status (7)
Country | Link |
---|---|
US (4) | US11717346B2 (de) |
EP (2) | EP4108197A1 (de) |
JP (1) | JP2024528747A (de) |
CN (1) | CN117769398A (de) |
AU (1) | AU2022299655A1 (de) |
CA (1) | CA3223862A1 (de) |
WO (1) | WO2022269545A2 (de) |
Families Citing this family (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN117796895B (zh) * | 2024-02-29 | 2024-08-30 | 浙江伽奈维医疗科技有限公司 | 一种陡脉冲消融导管及设备 |
CN118021435B (zh) * | 2024-03-18 | 2024-08-09 | 南京康友医疗科技有限公司 | 一种微波消融导管 |
Family Cites Families (201)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
SU1119663A1 (ru) | 1980-10-27 | 1984-10-23 | Челябинский медицинский институт | Способ лечени бронхиальной астмы |
CA1231392A (en) | 1982-10-14 | 1988-01-12 | Edward E. Elson | Flexible tip cardiac pacing catheter |
SU1412745A1 (ru) | 1985-06-24 | 1988-07-30 | Горьковский государственный медицинский институт им.С.М.Кирова | Способ хирургического лечени бронхиальной астмы |
US4869263A (en) * | 1988-02-04 | 1989-09-26 | Cardiometrics, Inc. | Device and method for measuring volumetric blood flow in a vessel |
US4955377A (en) | 1988-10-28 | 1990-09-11 | Lennox Charles D | Device and method for heating tissue in a patient's body |
SU1734708A1 (ru) | 1989-09-29 | 1992-05-23 | Иркутский институт усовершенствования врачей | Способ хирургического лечени бронхиальной астмы |
AU2339792A (en) | 1991-07-22 | 1993-02-23 | Cyberonics, Inc. | Treatment of respiratory disorders by nerve stimulation |
RU2074645C1 (ru) | 1992-12-07 | 1997-03-10 | Гиллер Дмитрий Борисович | Способ хирургического лечения бронхиальной астмы |
RU2102090C1 (ru) | 1995-05-22 | 1998-01-20 | Карашуров Сергей Егорович | Способ лечения бронхиальной астмы |
US6763261B2 (en) | 1995-09-20 | 2004-07-13 | Board Of Regents, The University Of Texas System | Method and apparatus for detecting vulnerable atherosclerotic plaque |
US7269457B2 (en) | 1996-04-30 | 2007-09-11 | Medtronic, Inc. | Method and system for vagal nerve stimulation with multi-site cardiac pacing |
US5882329A (en) * | 1997-02-12 | 1999-03-16 | Prolifix Medical, Inc. | Apparatus and method for removing stenotic material from stents |
US6411852B1 (en) | 1997-04-07 | 2002-06-25 | Broncus Technologies, Inc. | Modification of airways by application of energy |
US6117101A (en) | 1997-07-08 | 2000-09-12 | The Regents Of The University Of California | Circumferential ablation device assembly |
US6493589B1 (en) | 1998-05-07 | 2002-12-10 | Medtronic, Inc. | Methods and apparatus for treatment of pulmonary conditions |
WO1999065561A1 (en) | 1998-06-19 | 1999-12-23 | Cordis Webster, Inc. | Method and apparatus for transvascular treatment of tachycardia and fibrillation |
US6709427B1 (en) | 1999-08-05 | 2004-03-23 | Kensey Nash Corporation | Systems and methods for delivering agents into targeted tissue of a living being |
US6669655B1 (en) | 1999-10-20 | 2003-12-30 | Transurgical, Inc. | Sonic element and catheter incorporating same |
DE50014442D1 (de) | 1999-11-30 | 2007-08-09 | Biotronik Gmbh & Co Kg | Gerät zur Regelung der Herzfrequenz und der Herzpumpkraft |
US6532378B2 (en) | 2000-01-14 | 2003-03-11 | Ep Medsystems, Inc. | Pulmonary artery catheter for left and right atrial recording |
US6494835B1 (en) * | 2000-02-16 | 2002-12-17 | Jomed Inc. | Method and apparatus for intravascular brachytherapy treatment planning |
EP1642544B1 (de) | 2000-05-03 | 2009-04-08 | C.R.Bard, Inc. | Gerät zur Darstellung und Ablation bei elektrophysiologischen Verfahren |
US7623926B2 (en) | 2000-09-27 | 2009-11-24 | Cvrx, Inc. | Stimulus regimens for cardiovascular reflex control |
US7090648B2 (en) | 2000-09-28 | 2006-08-15 | Non-Invasive Monitoring Systems, Inc. | External addition of pulses to fluid channels of body to release or suppress endothelial mediators and to determine effectiveness of such intervention |
US6564096B2 (en) | 2001-02-28 | 2003-05-13 | Robert A. Mest | Method and system for treatment of tachycardia and fibrillation |
US20020188170A1 (en) | 2001-04-27 | 2002-12-12 | Santamore William P. | Prevention of myocardial infarction induced ventricular expansion and remodeling |
US6763722B2 (en) | 2001-07-13 | 2004-07-20 | Transurgical, Inc. | Ultrasonic transducers |
US20060116736A1 (en) | 2001-07-23 | 2006-06-01 | Dilorenzo Daniel J | Method, apparatus, and surgical technique for autonomic neuromodulation for the treatment of obesity |
US20090118780A1 (en) | 2001-07-23 | 2009-05-07 | Dilorenzo Daniel John | Method and apparatus for conformal electrodes for autonomic neuromodulation for the treatment of obesity and other conditions |
US20060167498A1 (en) | 2001-07-23 | 2006-07-27 | Dilorenzo Daniel J | Method, apparatus, and surgical technique for autonomic neuromodulation for the treatment of disease |
US7734355B2 (en) | 2001-08-31 | 2010-06-08 | Bio Control Medical (B.C.M.) Ltd. | Treatment of disorders by unidirectional nerve stimulation |
US7591818B2 (en) | 2001-12-04 | 2009-09-22 | Endoscopic Technologies, Inc. | Cardiac ablation devices and methods |
US7226448B2 (en) | 2001-12-04 | 2007-06-05 | Estech, Inc. (Endoscopic Technologies, Inc.) | Cardiac treatment devices and methods |
US20090024124A1 (en) | 2005-07-14 | 2009-01-22 | Lefler Amy | Methods for treating the thoracic region of a patient's body |
US7756583B2 (en) | 2002-04-08 | 2010-07-13 | Ardian, Inc. | Methods and apparatus for intravascularly-induced neuromodulation |
US7162303B2 (en) | 2002-04-08 | 2007-01-09 | Ardian, Inc. | Renal nerve stimulation method and apparatus for treatment of patients |
US8347891B2 (en) | 2002-04-08 | 2013-01-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for performing a non-continuous circumferential treatment of a body lumen |
US8774913B2 (en) | 2002-04-08 | 2014-07-08 | Medtronic Ardian Luxembourg S.A.R.L. | Methods and apparatus for intravasculary-induced neuromodulation |
US8145316B2 (en) | 2002-04-08 | 2012-03-27 | Ardian, Inc. | Methods and apparatus for renal neuromodulation |
US7620451B2 (en) | 2005-12-29 | 2009-11-17 | Ardian, Inc. | Methods and apparatus for pulsed electric field neuromodulation via an intra-to-extravascular approach |
US7617005B2 (en) | 2002-04-08 | 2009-11-10 | Ardian, Inc. | Methods and apparatus for thermally-induced renal neuromodulation |
US20110207758A1 (en) | 2003-04-08 | 2011-08-25 | Medtronic Vascular, Inc. | Methods for Therapeutic Renal Denervation |
US20040082859A1 (en) | 2002-07-01 | 2004-04-29 | Alan Schaer | Method and apparatus employing ultrasound energy to treat body sphincters |
US6866662B2 (en) | 2002-07-23 | 2005-03-15 | Biosense Webster, Inc. | Ablation catheter having stabilizing array |
US7149574B2 (en) | 2003-06-09 | 2006-12-12 | Palo Alto Investors | Treatment of conditions through electrical modulation of the autonomic nervous system |
US7738952B2 (en) | 2003-06-09 | 2010-06-15 | Palo Alto Investors | Treatment of conditions through modulation of the autonomic nervous system |
US20050251127A1 (en) | 2003-10-15 | 2005-11-10 | Jared Brosch | Miniature ultrasonic transducer with focusing lens for intracardiac and intracavity applications |
US8073538B2 (en) | 2003-11-13 | 2011-12-06 | Cardio Polymers, Inc. | Treatment of cardiac arrhythmia by modification of neuronal signaling through fat pads of the heart |
US7783353B2 (en) | 2003-12-24 | 2010-08-24 | Cardiac Pacemakers, Inc. | Automatic neural stimulation modulation based on activity and circadian rhythm |
US8126559B2 (en) | 2004-11-30 | 2012-02-28 | Cardiac Pacemakers, Inc. | Neural stimulation with avoidance of inappropriate stimulation |
US7899527B2 (en) | 2004-05-13 | 2011-03-01 | Palo Alto Investors | Treatment of conditions through modulation of the autonomic nervous system during at least one predetermined menstrual cycle phase |
US20050261672A1 (en) | 2004-05-18 | 2005-11-24 | Mark Deem | Systems and methods for selective denervation of heart dysrhythmias |
US7260431B2 (en) | 2004-05-20 | 2007-08-21 | Cardiac Pacemakers, Inc. | Combined remodeling control therapy and anti-remodeling therapy by implantable cardiac device |
US7747323B2 (en) | 2004-06-08 | 2010-06-29 | Cardiac Pacemakers, Inc. | Adaptive baroreflex stimulation therapy for disordered breathing |
US20050283148A1 (en) | 2004-06-17 | 2005-12-22 | Janssen William M | Ablation apparatus and system to limit nerve conduction |
US20120277839A1 (en) | 2004-09-08 | 2012-11-01 | Kramer Jeffery M | Selective stimulation to modulate the sympathetic nervous system |
US7892203B2 (en) * | 2004-09-09 | 2011-02-22 | Onset Medical Corporation | Expandable transluminal sheath |
US7540872B2 (en) | 2004-09-21 | 2009-06-02 | Covidien Ag | Articulating bipolar electrosurgical instrument |
US7828795B2 (en) | 2005-01-18 | 2010-11-09 | Atricure, Inc. | Surgical ablation and pacing device |
US7367951B2 (en) | 2005-01-27 | 2008-05-06 | Medtronic, Inc. | System and method for detecting cardiovascular health conditions using hemodynamic pressure waveforms |
US7587238B2 (en) | 2005-03-11 | 2009-09-08 | Cardiac Pacemakers, Inc. | Combined neural stimulation and cardiac resynchronization therapy |
US7660628B2 (en) | 2005-03-23 | 2010-02-09 | Cardiac Pacemakers, Inc. | System to provide myocardial and neural stimulation |
US8052668B2 (en) | 2005-05-13 | 2011-11-08 | Cardiac Pacemakers, Inc. | Neurotoxic agents and devices to treat atrial fibrillation |
US8460357B2 (en) * | 2005-05-31 | 2013-06-11 | J.W. Medical Systems Ltd. | In situ stent formation |
WO2007005386A1 (en) | 2005-06-30 | 2007-01-11 | Rox Medical, Inc. | Devices, systems, and methods for creation of a peripherally located fistula |
US8660647B2 (en) | 2005-07-28 | 2014-02-25 | Cyberonics, Inc. | Stimulating cranial nerve to treat pulmonary disorder |
US20070142879A1 (en) | 2005-12-20 | 2007-06-21 | The Cleveland Clinic Foundation | Apparatus and method for modulating the baroreflex system |
US7616990B2 (en) | 2005-10-24 | 2009-11-10 | Cardiac Pacemakers, Inc. | Implantable and rechargeable neural stimulator |
US7630760B2 (en) | 2005-11-21 | 2009-12-08 | Cardiac Pacemakers, Inc. | Neural stimulation therapy system for atherosclerotic plaques |
EP1981584B1 (de) | 2006-02-03 | 2015-05-13 | Interventional Autonomics Corporation | Intravaskuläre vorrichtung zur neuromodulation |
CN101400403A (zh) | 2006-02-10 | 2009-04-01 | 电子核心公司 | 利用电调制来治疗过敏反应的方法和装置 |
US20070191904A1 (en) | 2006-02-14 | 2007-08-16 | Imad Libbus | Expandable stimulation electrode with integrated pressure sensor and methods related thereto |
US20100241188A1 (en) | 2009-03-20 | 2010-09-23 | Electrocore, Inc. | Percutaneous Electrical Treatment Of Tissue |
US8652201B2 (en) | 2006-04-26 | 2014-02-18 | The Cleveland Clinic Foundation | Apparatus and method for treating cardiovascular diseases |
US8019435B2 (en) | 2006-05-02 | 2011-09-13 | Boston Scientific Scimed, Inc. | Control of arterial smooth muscle tone |
WO2007136566A2 (en) | 2006-05-19 | 2007-11-29 | Prorhythm, Inc. | Ablation device with optimized input power profile and method of using the same |
CN105056408B (zh) | 2006-06-28 | 2018-09-25 | 美敦力Af卢森堡公司 | 用于热诱导的肾神经调制的系统 |
US8457734B2 (en) | 2006-08-29 | 2013-06-04 | Cardiac Pacemakers, Inc. | System and method for neural stimulation |
US7801604B2 (en) | 2006-08-29 | 2010-09-21 | Cardiac Pacemakers, Inc. | Controlled titration of neurostimulation therapy |
US7925342B2 (en) | 2006-10-06 | 2011-04-12 | Cardiac Pacemakers, Inc. | Implantable device for responsive neural stimulation therapy |
US7664548B2 (en) | 2006-10-06 | 2010-02-16 | Cardiac Pacemakers, Inc. | Distributed neuromodulation system for treatment of cardiovascular disease |
US7744618B2 (en) | 2006-12-07 | 2010-06-29 | Cardiac Pacemakers, Inc. | Device and method for modulating renal function |
US20100217347A1 (en) | 2006-12-16 | 2010-08-26 | Greatbatch, Inc. | Neurostimulation for the treatment of pulmonary disorders |
US7715915B1 (en) | 2006-12-22 | 2010-05-11 | Pacesetter, Inc. | Neurostimulation and neurosensing techniques to optimize atrial anti-tachycardia pacing for prevention of atrial tachyarrhythmias |
US7826899B1 (en) | 2006-12-22 | 2010-11-02 | Pacesetter, Inc. | Neurostimulation and neurosensing techniques to optimize atrial anti-tachycardia pacing for termination of atrial tachyarrhythmias |
AU2008216870B2 (en) | 2007-02-09 | 2013-05-23 | Solventum Intellectual Properties Company | A breathable interface system for topical reduced pressure |
US7937147B2 (en) | 2007-02-28 | 2011-05-03 | Cardiac Pacemakers, Inc. | High frequency stimulation for treatment of atrial fibrillation |
US8249705B1 (en) | 2007-03-20 | 2012-08-21 | Cvrx, Inc. | Devices, systems, and methods for improving left ventricular structure and function using baroreflex activation therapy |
US11395694B2 (en) | 2009-05-07 | 2022-07-26 | St. Jude Medical, Llc | Irrigated ablation catheter with multiple segmented ablation electrodes |
US8986342B2 (en) | 2007-11-25 | 2015-03-24 | Ic Therapeutics | Methods and apparatus for repeated ischemic conditioning treatment of hypertension and other medical conditions |
US8983609B2 (en) | 2007-05-30 | 2015-03-17 | The Cleveland Clinic Foundation | Apparatus and method for treating pulmonary conditions |
US8027724B2 (en) | 2007-08-03 | 2011-09-27 | Cardiac Pacemakers, Inc. | Hypertension diagnosis and therapy using pressure sensor |
US8323202B2 (en) | 2007-11-16 | 2012-12-04 | Pneumrx, Inc. | Method and system for measuring pulmonary artery circulation information |
US7983748B2 (en) | 2008-02-26 | 2011-07-19 | Ruse Richard B | Apparatus and method for treating atrial fibrillation and atrial tachycardia |
US20090254142A1 (en) | 2008-04-08 | 2009-10-08 | Silhouette Medical, Usa | Treating Medical Conditions of Hollow Organs |
US8494608B2 (en) | 2008-04-18 | 2013-07-23 | Medtronic, Inc. | Method and apparatus for mapping a structure |
KR101719824B1 (ko) | 2008-05-09 | 2017-04-04 | 호라이라 인코포레이티드 | 기관지나무 치료용 시스템, 어셈블리 및 방법 |
US20140358140A1 (en) * | 2008-10-21 | 2014-12-04 | Microcube, Llc | Microwave treatment devices and methods |
US8414508B2 (en) | 2008-10-30 | 2013-04-09 | Vytronus, Inc. | System and method for delivery of energy to tissue while compensating for collateral tissue |
US8808345B2 (en) | 2008-12-31 | 2014-08-19 | Medtronic Ardian Luxembourg S.A.R.L. | Handle assemblies for intravascular treatment devices and associated systems and methods |
US8672917B2 (en) | 2009-01-05 | 2014-03-18 | Medtronic, Inc. | Pressure monitoring to control delivery of therapeutic agent |
WO2010110785A1 (en) | 2009-03-24 | 2010-09-30 | Electrocore, Inc. | Electrical treatment of bronchial constriction |
US8483832B2 (en) | 2009-05-20 | 2013-07-09 | ElectroCore, LLC | Systems and methods for selectively applying electrical energy to tissue |
US9174065B2 (en) | 2009-10-12 | 2015-11-03 | Kona Medical, Inc. | Energetic modulation of nerves |
CN112089394A (zh) | 2009-10-27 | 2020-12-18 | 努瓦拉公司 | 具有可冷却的能量发射组件的递送装置 |
EP3132828B1 (de) | 2009-10-30 | 2017-10-11 | ReCor Medical, Inc. | Vorrichtung zur behandlung von bluthochdruck durch perkutane ultraschall-nierendenervation |
US20120302909A1 (en) | 2009-11-11 | 2012-11-29 | Mayse Martin L | Methods and systems for screening subjects |
US8911439B2 (en) | 2009-11-11 | 2014-12-16 | Holaira, Inc. | Non-invasive and minimally invasive denervation methods and systems for performing the same |
US9392971B2 (en) | 2009-12-14 | 2016-07-19 | Mayo Foundation For Medical Education And Research | Device and method for treating cardiac disorders by modulating autonomic response |
WO2011088399A1 (en) | 2010-01-18 | 2011-07-21 | Stanford University | Method and apparatus for radioablation of regular targets such as sympathetic nerves |
EP2525715A4 (de) | 2010-01-19 | 2014-06-04 | Medtronic Ardian Luxembourg S R L | Verfahren und vorrichtung zur nieren-neuromodulation durch stereotaktische strahlentherapie |
WO2011127216A2 (en) | 2010-04-06 | 2011-10-13 | Innovative Pulmonary Solutions, Inc. | System and method for pulmonary treatment |
US9192790B2 (en) * | 2010-04-14 | 2015-11-24 | Boston Scientific Scimed, Inc. | Focused ultrasonic renal denervation |
JP5624672B2 (ja) | 2010-04-15 | 2014-11-12 | カーディアック ペースメイカーズ, インコーポレイテッド | 断続的神経刺激による過渡反応を使用する自律神経調節 |
WO2011140022A2 (en) | 2010-05-07 | 2011-11-10 | Cardiac Pacemakers, Inc. | Output circuit for both electrostimulation and neuromodulation |
US20120029505A1 (en) | 2010-07-30 | 2012-02-02 | Jenson Mark L | Self-Leveling Electrode Sets for Renal Nerve Ablation |
US9408661B2 (en) | 2010-07-30 | 2016-08-09 | Patrick A. Haverkost | RF electrodes on multiple flexible wires for renal nerve ablation |
US9155589B2 (en) | 2010-07-30 | 2015-10-13 | Boston Scientific Scimed, Inc. | Sequential activation RF electrode set for renal nerve ablation |
US20120029512A1 (en) | 2010-07-30 | 2012-02-02 | Willard Martin R | Balloon with surface electrodes and integral cooling for renal nerve ablation |
US9463062B2 (en) | 2010-07-30 | 2016-10-11 | Boston Scientific Scimed, Inc. | Cooled conductive balloon RF catheter for renal nerve ablation |
US9084609B2 (en) | 2010-07-30 | 2015-07-21 | Boston Scientific Scime, Inc. | Spiral balloon catheter for renal nerve ablation |
US20120065554A1 (en) | 2010-09-09 | 2012-03-15 | Michael Pikus | Dual Balloon Ablation Catheter with Vessel Deformation Arrangement for Renal Nerve Ablation |
US8696581B2 (en) | 2010-10-18 | 2014-04-15 | CardioSonic Ltd. | Ultrasound transducer and uses thereof |
US9028417B2 (en) | 2010-10-18 | 2015-05-12 | CardioSonic Ltd. | Ultrasound emission element |
CN103298441A (zh) | 2010-10-18 | 2013-09-11 | 卡尔迪欧索尼克有限公司 | 组织治疗 |
US9566456B2 (en) | 2010-10-18 | 2017-02-14 | CardioSonic Ltd. | Ultrasound transceiver and cooling thereof |
US20120130458A1 (en) | 2010-10-26 | 2012-05-24 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation cryotherapeutic devices and associated systems and methods |
US9028485B2 (en) | 2010-11-15 | 2015-05-12 | Boston Scientific Scimed, Inc. | Self-expanding cooling electrode for renal nerve ablation |
US9089350B2 (en) | 2010-11-16 | 2015-07-28 | Boston Scientific Scimed, Inc. | Renal denervation catheter with RF electrode and integral contrast dye injection arrangement |
AU2011328921B2 (en) | 2010-11-17 | 2015-07-09 | Medtronic Af Luxembourg S.A.R.L. | Therapeutic renal neuromodulation for treating dyspnea and associated systems and methods |
US9023034B2 (en) | 2010-11-22 | 2015-05-05 | Boston Scientific Scimed, Inc. | Renal ablation electrode with force-activatable conduction apparatus |
US20120157992A1 (en) | 2010-12-15 | 2012-06-21 | Scott Smith | Off-wall electrode device for renal nerve ablation |
US10016233B2 (en) | 2010-12-06 | 2018-07-10 | Biosense Webster (Israel) Ltd. | Treatment of atrial fibrillation using high-frequency pacing and ablation of renal nerves |
US20120157993A1 (en) | 2010-12-15 | 2012-06-21 | Jenson Mark L | Bipolar Off-Wall Electrode Device for Renal Nerve Ablation |
US20200305952A1 (en) * | 2010-12-16 | 2020-10-01 | Biosense Webster (Israel) Ltd. | Device, system and method to ablate cardiac tissue |
US20120172680A1 (en) | 2010-12-28 | 2012-07-05 | G & L Consulting, Llc | Method for sympathetic rebalancing of patient |
US20120184952A1 (en) | 2011-01-19 | 2012-07-19 | Jenson Mark L | Low-profile off-wall electrode device for renal nerve ablation |
JP2014512882A (ja) | 2011-02-18 | 2014-05-29 | リコール メディカル インコーポレイテッド | 超音波を用いる腎臓神経除去装置 |
CN103764225B (zh) | 2011-03-04 | 2017-06-09 | 彩虹医疗公司 | 通过施加能量对组织进行治疗和监测的仪器 |
US9937002B2 (en) * | 2011-03-08 | 2018-04-10 | Nexus Control Systems, Llc | Ablation catheter system with safety features |
WO2012130337A1 (en) | 2011-04-01 | 2012-10-04 | Flux Medical N.V. | System, device and method for ablation of a vessel's wall from the inside |
EP2701795B1 (de) | 2011-04-28 | 2020-12-09 | Interventional Autonomics Corporation | Neuromodulationssysteme zur behandlung akuter herzinsuffizienzsyndrome |
US20140316398A1 (en) | 2011-04-29 | 2014-10-23 | Brian Kelly | Systems and methods related to selective heating of cryogenic balloons for targeted cryogenic neuromodulation |
US20120290024A1 (en) | 2011-05-11 | 2012-11-15 | St. Jude Medical, Inc. | Transvenous renal nerve modulation for treatment of hypertension, cardiovascular disorders, and chronic renal diseases |
US20130053792A1 (en) | 2011-08-24 | 2013-02-28 | Ablative Solutions, Inc. | Expandable catheter system for vessel wall injection and muscle and nerve fiber ablation |
WO2013090848A1 (en) | 2011-12-15 | 2013-06-20 | The Board Of Trustees Of The Leland Stanford Junior University | Apparatus and methods for treating pulmonary hypertension |
CN104244851A (zh) | 2012-02-14 | 2014-12-24 | 瑞博医疗器械集团 | 反射促进的超声治疗和监视 |
WO2013157011A2 (en) | 2012-04-18 | 2013-10-24 | CardioSonic Ltd. | Tissue treatment |
US9717555B2 (en) | 2012-05-14 | 2017-08-01 | Biosense Webster (Israel), Ltd. | Catheter with helical end section for vessel ablation |
US11357447B2 (en) | 2012-05-31 | 2022-06-14 | Sonivie Ltd. | Method and/or apparatus for measuring renal denervation effectiveness |
US9283033B2 (en) | 2012-06-30 | 2016-03-15 | Cibiem, Inc. | Carotid body ablation via directed energy |
EP2874555A1 (de) * | 2012-07-17 | 2015-05-27 | Boston Scientific Scimed, Inc. | Katheter für nierennervenmodulation |
US10499984B2 (en) * | 2012-07-18 | 2019-12-10 | Bernard Boon Chye Lim | Apparatus and method for assessing tissue treatment |
US10206592B2 (en) | 2012-09-14 | 2019-02-19 | Endotronix, Inc. | Pressure sensor, anchor, delivery system and method |
EP2914326B1 (de) | 2012-11-02 | 2023-08-16 | Neurotronic, Inc. | Chemische ablationsformulierungen |
US9827036B2 (en) | 2012-11-13 | 2017-11-28 | Pulnovo Medical (Wuxi) Co., Ltd. | Multi-pole synchronous pulmonary artery radiofrequency ablation catheter |
US11241267B2 (en) | 2012-11-13 | 2022-02-08 | Pulnovo Medical (Wuxi) Co., Ltd | Multi-pole synchronous pulmonary artery radiofrequency ablation catheter |
CN102908191A (zh) | 2012-11-13 | 2013-02-06 | 陈绍良 | 多极同步肺动脉射频消融导管 |
WO2014130954A1 (en) * | 2013-02-22 | 2014-08-28 | Cibiem, Inc. | Endovascular catheters for trans-superficial temporal artery transmural carotid body modulation |
EP2964086A4 (de) | 2013-03-09 | 2017-02-15 | Kona Medical, Inc. | Wandler, systeme und verfahren für fokussierte ultraschalltherapien |
US10456605B2 (en) | 2013-03-14 | 2019-10-29 | Recor Medical, Inc. | Ultrasound-based neuromodulation system |
EP2971232A1 (de) | 2013-03-14 | 2016-01-20 | ReCor Medical, Inc. | Plattierungs- oder beschichtungsverfahren für ultraschallwandler |
US20140276714A1 (en) * | 2013-03-15 | 2014-09-18 | Boston Scientific Scimed, Inc. | Active infusion sheath for ultrasound ablation catheter |
US10933259B2 (en) | 2013-05-23 | 2021-03-02 | CardioSonic Ltd. | Devices and methods for renal denervation and assessment thereof |
US11446524B2 (en) * | 2013-09-12 | 2022-09-20 | Nuvaira Inc. | Systems, devices, and methods for treating a pulmonary disease with ultrasound energy |
US20160302857A1 (en) | 2013-10-24 | 2016-10-20 | Medtronic Ardian Luxembourg S.A.R.L. | Catheter apparatuses for modulation of nerves in communication with the pulmonary system and associated systems and methods |
WO2015074036A2 (en) * | 2013-11-18 | 2015-05-21 | Jeremy Stigall | Methods and devices for thrombus dispersal |
JP6529971B2 (ja) | 2013-11-19 | 2019-06-12 | エシコン・インコーポレイテッドEthicon, Inc. | 気管支疾患の治療のための胸腔鏡検査方法 |
US10279184B2 (en) | 2013-12-09 | 2019-05-07 | Ryan Kendall Pierce | Devices and methods for treating cardiovascular and metabolic disease |
US10314648B2 (en) | 2013-12-13 | 2019-06-11 | The Trustees of the Universoty of Pennsylvania | Coaxial ablation probe and method and system for real-time monitoring of ablation therapy |
BR112016013514B1 (pt) | 2013-12-13 | 2022-04-19 | Stora Enso Oyj (Fi) | Papelão de múltiplas camadas |
EP3089686A4 (de) | 2014-01-03 | 2017-11-22 | Mc10, Inc. | Katheter oder führungsdraht mit durchflussmessung und verwendung davon |
CN105934212B (zh) | 2014-02-06 | 2018-11-30 | 埃库贝雷特公司 | 用于自导消融的设备和方法 |
US20150253974A1 (en) | 2014-03-07 | 2015-09-10 | Sony Corporation | Control of large screen display using wireless portable computer interfacing with display controller |
EP3116408B1 (de) | 2014-03-12 | 2018-12-19 | Cibiem, Inc. | Ultraschallablationskatheter |
WO2015157641A1 (en) | 2014-04-11 | 2015-10-15 | University Of Florida Research Foundation, Inc. | System and method for diagnosing defects in random flow systems |
US10518112B2 (en) | 2014-06-18 | 2019-12-31 | Sonivie Ltd. | Method for treating secondary pulmonary hypertension |
CA2954897A1 (en) | 2014-07-11 | 2016-01-14 | Shaoliang CHEN | Multi-pole synchronous pulmonary artery radiofrequency ablation catheter |
EP3217904B1 (de) | 2014-11-14 | 2021-09-08 | Medtronic Ardian Luxembourg S.à.r.l. | Kathetervorrichtungen zur modulation von nerven in verbindung mit dem pulmonaren system und verwandte systeme |
JP6725178B2 (ja) | 2014-11-19 | 2020-07-15 | エピックス セラピューティクス,インコーポレイテッド | 高分解能電極アセンブリを使用するアブレーション装置、システムおよび方法 |
EP3223712B1 (de) | 2014-11-26 | 2023-08-30 | Sonivie Ltd. | Vorrichtungen zur behandlung von pulmonaler hypertonie |
EP3288626A4 (de) | 2015-04-27 | 2019-01-23 | Reflex Medical Inc. | Systeme und verfahren zur sympathischen kardiopulmonalen neuromodulation |
US10842556B1 (en) | 2015-05-15 | 2020-11-24 | The Johns Hopkins University | Method and apparatus to treat cardiopulmonary disease |
US20180360531A1 (en) | 2015-10-27 | 2018-12-20 | Mayo Foundation For Medical Education And Research | Devices and methods for ablation of tissue |
EP3407802B1 (de) | 2016-01-29 | 2024-01-10 | Bioventrix, Inc. | Perkutaner arterieller zugang zur positionierung von transmyokardimplantatvorrichtungen |
AU2017229496B2 (en) * | 2016-03-09 | 2022-03-31 | CARDIONOMIC, Inc. | Cardiac contractility neurostimulation systems and methods |
US10736692B2 (en) | 2016-04-28 | 2020-08-11 | Medtronic Ardian Luxembourg S.A.R.L. | Neuromodulation and associated systems and methods for the treatment of cancer |
CN109561929A (zh) | 2016-06-06 | 2019-04-02 | 纽乌罗有限公司 | 用于远场双极消融的装置 |
US10524859B2 (en) * | 2016-06-07 | 2020-01-07 | Metavention, Inc. | Therapeutic tissue modulation devices and methods |
CN114711957A (zh) | 2016-07-29 | 2022-07-08 | 阿克松疗法公司 | 通过脏神经消融术治疗心脏衰竭的装置、系统和方法 |
US20190183372A1 (en) | 2016-09-07 | 2019-06-20 | Ablacon Inc. | Multiple Configuration Electrophysiological Mapping Catheter, and Systems, Devices, Components and Methods Associated Therewith |
US10893809B2 (en) | 2016-11-10 | 2021-01-19 | Auburn University | Method and system for evaluating blood vessel |
WO2018125822A2 (en) | 2016-12-28 | 2018-07-05 | Coridea, Llc | Apparatus to treat cardiopulmonary disease |
US20200238107A1 (en) | 2017-03-20 | 2020-07-30 | Sonie Vie Ltd. | Pulmonary hypertension treatment method and/or system |
US10638786B2 (en) | 2017-08-16 | 2020-05-05 | Zolighter, LLC | Methods of reducing visceral fat and related compositions |
CA3089217A1 (en) | 2018-01-26 | 2019-08-01 | Dorin Panescu | Methods and devices for endovascular ablation of a splanchnic nerve |
US20200038638A1 (en) | 2018-08-06 | 2020-02-06 | Biosense Webster (Israel) Ltd. | Balloon positioning using magnetic resonance imaging (mri) blood flow measurements |
JP2021534843A (ja) * | 2018-08-22 | 2021-12-16 | ヒーリアム メディカル リミテッド | カテーテル超音波トランスデューサコンテナ |
US20200101270A1 (en) | 2018-09-24 | 2020-04-02 | Michael Warren Sutherland | Pulmonary arterial compliance enhancement and control device |
KR102003037B1 (ko) * | 2018-11-01 | 2019-07-24 | 주식회사 코러스트 | 초음파 전달 매질의 순환 구조를 가지는 체강 삽입형 초음파 장치 |
US11007001B1 (en) * | 2020-04-07 | 2021-05-18 | Sonivie Ltd. | Devices and methods for reducing parasympathetic nerve activity in patients with a respiratory syndrome |
-
2021
- 2021-06-24 EP EP21305873.8A patent/EP4108197A1/de not_active Withdrawn
-
2022
- 2022-06-23 CN CN202280051487.9A patent/CN117769398A/zh active Pending
- 2022-06-23 CA CA3223862A patent/CA3223862A1/en active Pending
- 2022-06-23 EP EP22735616.9A patent/EP4225187B1/de active Active
- 2022-06-23 AU AU2022299655A patent/AU2022299655A1/en active Pending
- 2022-06-23 JP JP2023579540A patent/JP2024528747A/ja active Pending
- 2022-06-23 WO PCT/IB2022/055854 patent/WO2022269545A2/en active Application Filing
- 2022-09-27 US US17/935,881 patent/US11717346B2/en active Active
- 2022-09-27 US US17/935,877 patent/US11744640B2/en active Active
-
2023
- 2023-08-03 US US18/365,099 patent/US20230380895A1/en active Pending
- 2023-08-31 US US18/459,063 patent/US11950842B2/en active Active
Also Published As
Publication number | Publication date |
---|---|
US20230057626A1 (en) | 2023-02-23 |
JP2024528747A (ja) | 2024-07-31 |
EP4225187C0 (de) | 2024-06-12 |
EP4225187B1 (de) | 2024-06-12 |
AU2022299655A1 (en) | 2024-01-04 |
CN117769398A (zh) | 2024-03-26 |
US11950842B2 (en) | 2024-04-09 |
EP4225187A2 (de) | 2023-08-16 |
US20230380895A1 (en) | 2023-11-30 |
US20230404664A1 (en) | 2023-12-21 |
US11717346B2 (en) | 2023-08-08 |
WO2022269545A2 (en) | 2022-12-29 |
US20230018991A1 (en) | 2023-01-19 |
EP4108197A1 (de) | 2022-12-28 |
WO2022269545A3 (en) | 2023-02-02 |
US11744640B2 (en) | 2023-09-05 |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US20210338321A1 (en) | Catheter apparatuses for modulation of nerves in communication with pulmonary system and associated systems and methods | |
CN109843201B (zh) | 治疗性组织调节设备和方法 | |
JP6466499B2 (ja) | 高血圧症を治療するための下大静脈及び/又は腹大動脈内若しくはその近くの神経を標的とするアブレーション | |
US11950842B2 (en) | Systems and methods for applying energy to denervate a pulmonary artery | |
JP6441679B2 (ja) | 肝臓系の治療的な神経調節 | |
JP6580034B2 (ja) | 標的神経線維の調節 | |
US9155588B2 (en) | System and method for positioning an elongate member with respect to an anatomical structure | |
JP2015503954A (ja) | 肺高血圧症を治療するための装置および方法 | |
US11806073B2 (en) | Methods and devices for endovascular ablation of a splanchnic nerve | |
US20160256216A1 (en) | Catheter apparatuses for pulmonary artery neuromodulation |